肾结石并发肾盂肿瘤的诊断：附22例报告

目的：肾结石并发肾盂肿瘤时，肾盂肿瘤易漏诊。如何提高其术前诊断率是本病的一个难点。方法：回顾性总结近１１年来诊治的２２例此类患者。结果：肾结石并发肾盂肿瘤，占同期肾结石手术１１２３例的１．９６％，占肾盂肿瘤１０３例的２１．３％。肾盂肿瘤的术前漏诊率达９１％。肾结石及其并发症的存在常干扰肾盂肿瘤的临床表现和影像学表现。结论：术前应高度重视临床资料中各种有提示意义的迹象，逆行插管或穿刺吸取肾盂尿液进行

Diagnosis of Renal Pelvic Tumor Associated with Renal Calculi(Report of 22 Cases)

22 cases of renal pelvic tumor associated with renal calculi were presented. The diagnoses of renal pelvic tumor were always neglected in such patients. Their usual features included long duration of symptoms, large or multiple renal calculi associated with severe urinary obstruction, hydronephrosis and inflammatory condition. Theese features made the tumor become atypical in clinical manifestation and imagic examination. How to avoid the missing of the diagnosis of renal pelvic tumor was discussed in detail.